ASHLEY L DIEDRICH AA
NPI 1386748911
Anesthesiologist Assistant in Green Bay, WI
NPI Status: Active since September 12, 2006
Contact Information
744 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-3605
Fax: (920) 433-3589
- Individual
- Female
- Years of Experience 20
- Anesthesiologist Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
About ASHLEY DIEDRICH
This page provides the complete NPI Profile along with additional information for Ashley Diedrich, a provider established in Green Bay, Wisconsin with a medical specialization in Anesthesiologist Assistant and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1386748911 assigned on September 2006. The practitioner's primary taxonomy code is 367H00000X with license number 26 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1386748911
- Provider Name
- ASHLEY L DIEDRICH AA
- Other Name
- ASHLEY L LEITERITZ AA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 744 S WEBSTER AVE GREEN BAY, WI 54301
- Location Phone
- (920) 433-3605
- Location Fax
- (920) 433-3589
- Mailing Address
- PO BOX 22487 GREEN BAY, WI 54305
- Mailing Phone
- (920) 445-7222
- Mailing Fax
- (920) 433-3589
- Medical School Name
- OTHER
- Graduation Year
- 2006
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-12-2006
- Last Update Date
- 08-31-2020
- Code Navigator
Location Map
Secondary Locations
- 2820 Roosevelt Rd
Marinette, WI 54143
(715) 735-5380 - 600 Highland Ave
Madison, WI 53792
(608) 263-8100
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiologist Assistant
- Taxonomy Code
- 367H00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 26
- License State
- WI
- Taxonomy Description
- An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
748 | OTHER (01) | NATIONAL COMMISSION CERTIFICATION ANESTHESIA ASSISTANTS |
Medicare Participation & PECOS Enrollment Status
Ashley Diedrich is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 3870591712
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20061201000165
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ashley Diedrich is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
BELLIN MEMORIAL HOSPITAL | 744 S WEBSTER AVE GREEN BAY, WI 54305 | (920) 433-3500 | Acute Care Hospitals |
Reviews for ASHLEY L DIEDRICH AA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 8 | 6 | 7 | 4 | 8 | 9 | 1 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 16 | 6 | 14 | 4 | 16 | 9 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 6 + 6 + 1 + 4 + 4 + 1 + 6 + 9 + 2 + 24 = 69 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 69 = 1 | 1 |
The NPI number 1386748911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1265415178 | DR. JOHN H. DANNER III M.D. Individual | Anesthesiology | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1881677607 | DR. FRANZ O IGLER M.D. Individual | Anesthesiology | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1144203969 | DR. JILL P HARMAN M.D. Individual | Emergency Medicine | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1912980715 | DR. STEPHAN M. FOSTER M.D. Individual | Anesthesiology | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1275516072 | DR. KEITH KENJI SANO MD Individual | Emergency Medicine | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1427031236 | DR. PAUL D CASEY M.D. Individual | Emergency Medicine | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1629051164 | DR. DAVID J HOYER M.D. Individual | Emergency Medicine | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1225012743 | DR. MARSHALL A LONGNECKER M.D. Individual | Anesthesiology | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1669456182 | DR. THOMAS G MARSHALL M.D. Individual | Anesthesiology | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1942284153 | DR. WALTER J. RATSCHAN M.D. Individual | Anesthesiology | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1679557755 | DR. RICHARD W TSCHOEKE M.D. Individual | Anesthesiology | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1083698633 | MR. HOWARD L RETTMANN PA-C Individual | Physician Assistant | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 445-7222 |
1619952066 | KATHLEEN J HREN RD Individual | Dietitian, Registered | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 430-4750 |
1073598322 | FRANCIS J LEE DO Individual | Internal Medicine | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 445-7226 |
1538135926 | JASON G COISMAN DO Individual | Emergency Medicine | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3500 |
1144282773 | NATHANIAL I KIELER M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3653 |
1770530958 | DR. BHARAT Y PATHAKJEE M.D. Individual | Internal Medicine (Cardiovascular Disease) | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3640 |
1962449108 | DR. ZIWEN GUO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3653 |
1952348807 | DR. JIAXIN CAI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3653 |
1255370789 | DR. THOMAS S FREDEEN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 744 S WEBSTER AVE GREEN BAY, WI 54301 (920) 433-3653 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386748911, enumerated in the NPI registry as an "individual" on September 12, 2006
The provider is located at 744 S Webster Ave Green Bay, Wi 54301 and the phone number is (920) 433-3605
The provider's speciality is Anesthesiologist Assistant with taxonomy code 367H00000X
The provider has more than 20 years of experience.
The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The practitioner is affiliated to the following hospital(s): BELLIN MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.